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INTERIM STUDY REPORT
Public Health Committee
Rep. John Enns, Chairman
Oklahoma House of Representatives
Interim Study 12-070, Rep. Joe Dorman
September 11, 2012
Review of federal guidelines and Oklahoma policies regarding application of telemedicine
Rep. Dorman
• Introduced the study to the committee.
Candace Shaw
Assistant Vice Provost, University of Oklahoma Health Sciences Center
Academic Technology and Telemedicine
Principal Investigator, Heartland Telehealth Resource Center
Candace-Shaw@ouhsc.edu
• Provided an overview of the Heartland Telehealth Resource Center.
• Defined telemedicine as “the use of technology and telecommunications to assist with clinical
diagnosis and consultation from one site to another to improve patient health status.”
• Described telehealth as encompassing “a broader definition of remote health care services, and
more preventive, promotive and educational services.
• Identified two modes of transmission used in telemedicine and telehealth:
o Live interactive – “Where the patient and the clinical provider have to be live and
interactive, as if they were in the same room, but in disparate places.”
o Store and forward – “The information is acquired, transmitted to a health care provider
for their interpretation, or consultation, and then that referred later.”
• Testified that there has been an increased interest in telehealth to reduce costs and improve the
access to resources.
• “80 percent of the American people right now Google their health care question first before
contacting a health care professional.”
• Federally, the investment is being made in telemedicine and telehealth service delivery, which
is resulting in better outcomes and better access to health care services.
• Medicare and Medicaid have expanded their telemedicine reimbursement.
o Both are still limiting reimbursement to certain health care services by certain health
care providers in certain locations.
• Testified the national health care reform includes several provisions to advance telemedicine.
• “We see there may be a shift away from the Federal fee-for-service model to a local and
regional decision-making model.”
• Applauded the Universal Service Fund’s Rural Health Care Program for supplementing the
funding for telemedicine lines for rural health care providers.
• Oklahoma has over 400 sites with telemedicine and telehealth technology.

INTERIM STUDY REPORT
Public Health Committee
Rep. John Enns, Chairman
Oklahoma House of Representatives
Interim Study 12-070, Rep. Joe Dorman
September 11, 2012
Review of federal guidelines and Oklahoma policies regarding application of telemedicine
Rep. Dorman
• Introduced the study to the committee.
Candace Shaw
Assistant Vice Provost, University of Oklahoma Health Sciences Center
Academic Technology and Telemedicine
Principal Investigator, Heartland Telehealth Resource Center
Candace-Shaw@ouhsc.edu
• Provided an overview of the Heartland Telehealth Resource Center.
• Defined telemedicine as “the use of technology and telecommunications to assist with clinical
diagnosis and consultation from one site to another to improve patient health status.”
• Described telehealth as encompassing “a broader definition of remote health care services, and
more preventive, promotive and educational services.
• Identified two modes of transmission used in telemedicine and telehealth:
o Live interactive – “Where the patient and the clinical provider have to be live and
interactive, as if they were in the same room, but in disparate places.”
o Store and forward – “The information is acquired, transmitted to a health care provider
for their interpretation, or consultation, and then that referred later.”
• Testified that there has been an increased interest in telehealth to reduce costs and improve the
access to resources.
• “80 percent of the American people right now Google their health care question first before
contacting a health care professional.”
• Federally, the investment is being made in telemedicine and telehealth service delivery, which
is resulting in better outcomes and better access to health care services.
• Medicare and Medicaid have expanded their telemedicine reimbursement.
o Both are still limiting reimbursement to certain health care services by certain health
care providers in certain locations.
• Testified the national health care reform includes several provisions to advance telemedicine.
• “We see there may be a shift away from the Federal fee-for-service model to a local and
regional decision-making model.”
• Applauded the Universal Service Fund’s Rural Health Care Program for supplementing the
funding for telemedicine lines for rural health care providers.
• Oklahoma has over 400 sites with telemedicine and telehealth technology.